NPI | 1891175196 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2015-06-02 |
Last Update Date | 2016-11-14 |